Effectiveness of PNF Techniques on Diaphgramatic Muscle activity in the management of selected Outcome variables among Parkinsons patients

Varthini, NV (2018) Effectiveness of PNF Techniques on Diaphgramatic Muscle activity in the management of selected Outcome variables among Parkinsons patients. Masters thesis, R.V.S. College of Physiotherapy, Coimbatore.

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Abstract

INTRODUCTION: James Parkinson first described Parkinson’s disease (PD) extensively in 1817. It is a chronic progressive disorder of the central nerves system that belongs to a group of conditions called motor system disorders. Direct result of the loss of cells in a section of the brain called the substantianigra; those cells produce dopamine which is a chemical messenger responsible for transmitting signals with the brain and loss of dopamine causes neurons in the brain to fire out of control leaving the person unable to control their movements in a normal manner. OBJECTIVES: 1. To find out of the effectiveness of PNF techniques on diaphragm in the management of endurance among parkinson’s patients. 2. To find out of the effectiveness of conventional physiotherapy in the management of endurance among parkinson’s patients. 3. To compare the effects of PNF techniques on diaphragm and conventional physiotherapy in the management of endurance among parkinson’s patients. 4. To find out of the effectiveness of PNF techniques on diaphragm in the management of functional abilities among parkinson’s patients. 5. To find out of the effectiveness of conventional physiotherapy in the management of functional abilities among parkinson’s patients. 6. To compare the effects of PNF techniques on diaphragm and conventional physiotherapy in the management of functional abilities among parkinson’s patients. METHODOLOGY: Study setting: The study was conducted in outpatient department of RVS College of Physiotherapy, Sulur, Coimbatore. Selection of subjects: Twenty subjects were selected who fulfilled the inclusion and exclusion criteria and were consecutively assigned into two equal groups. Group A - PNF Techniques on Diaphragm, Group B - Conventional Physiotherapy. Study design: Pre and post test experimental study design. Inclusion Criteria: • Clinically diagnosed parkinson’s patients. • Ability to walk without any physical assistance. • Patient should be capable of walking to cover particular distance after which deterioration will be observed. • Stable pharmacological treatment. • Age group between 50 to 60 years. Exclusion Criteria: • Deep brain stimulation or other stereotactic neurosurgery done patients. • Postural hypotension. • Conditions interfering with endurance training: Unstable angina. • Cardiomyopathy, Uncontrolled metabolic disease etc. CONCLUSION: 20 Parkinson’s patients were included in this study and randomly divided into two groups and each group consisted of 10 subjects. Group A was treated with PNF diaphragm technique. Group B was treated with conventional physiotherapy. After two weeks of intervention endurance and activities of daily living improved significantly. The statistical result shows that there is improvement in both the groups. When comparing both, PNF diaphragm technique showed more significant improvement in endurance and activities of daily living among parkinson’s patients than conventional physiotherapy.

Item Type: Thesis (Masters)
Additional Information: Reg.No.271620025
Uncontrolled Keywords: PNF Techniques, Diaphgramatic Muscle activity, management, Outcome variables, Parkinsons patients.
Subjects: PHYSIOTHERAPY > Physiotherapy in Neurology
Depositing User: Subramani R
Date Deposited: 10 Mar 2020 11:38
Last Modified: 10 Mar 2020 11:38
URI: http://repository-tnmgrmu.ac.in/id/eprint/12183

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